Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,467.37 / $11,748.98	Facility		$794.33	$3,467.37	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $549.54	Professional		$257.04	$323.59	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Professional		$218.78	$218.78	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $4,570.88	Facility		$1,348.96	$2,290.87	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $446.68	Professional		$263.03	$331.13	$446.68
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $676.08 / $2,238.72	Facility		$138.04	$676.08	$2,238.72
Christus Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $257.04	Facility		$79.43	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $407.38 / $645.65	Professional		$295.12	$407.38	$645.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $45,708.82 / $45,708.82	Facility		$4,786.30	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $426.58 / $2,951.21	Facility		$281.84	$426.58	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $575.44	Professional		$263.03	$371.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $229.09 / $275.42	Professional		$32.36	$229.09	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $602.56	Professional		$537.03	$537.03	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $407.38 / $660.69	Facility		$281.84	$407.38	$660.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $645.65	Professional		$288.40	$407.38	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $8,912.51	Facility		$1,380.38	$4,073.80	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $501.19	Professional		$245.47	$323.59	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59